临床护理路径在腹腔镜肝切除术中的应用.docVIP

临床护理路径在腹腔镜肝切除术中的应用 　　[摘要] 目的 探究?R床护理路径在腹腔镜肝切除术中的应用效果。 方法 选取哈尔滨医科大学附属第一医院2014年6月～2016年6月收治的90例腹腔镜肝切除术患者，按照就诊时间顺序分为对照组与观察组，每组各45例，对照组仅给予常规护理，观察组给予临床护理路径，对比两组患者下床活动时间、首次肠鸣音时间、首次肛门排气时间、首次排便时间、住院时间、住院费用、健康教育知识及满意度评分、并发症发生率及术后生活质量。 结果 观察组下床活动时间、首次肠鸣音时间、首次肛门排气时间、首次排便时间、住院时间均较对照组短，住院费用较对照组少，差异有统计学意义（P 　　[关键词] 临床护理路径；腹腔镜；肝切除术 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2016）12（b）-0138-04 　　Application of clinical nursing pathway in laparoscopic hepatectomy 　　WANG Guannan KANG Kai 　　Department of Critical Care Medicine， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China 　　[Abstract] Objective To explore application effect of clinical nursing pathway in laparoscopic hepatectomy. Methods 90 patients with laparoscopic hepatectomy in the First Affiliated Hospital of Harbin Medical University from June 2014 to June 2016 were selected. All the patients were divided into control group and observation group according to the registration order， 45 cases in each group. The routine nursing was used in control group， clinical nursing pathway was applied in observation group. Time of off-bed， the first time of bowel sound， the first time of anal exhaust， the first time of defecation， length of hospital stay， hospital expense， health education knowledge and satisfaction score， incidence rate of complication， postoperative quality of life between two groups were compared. Results Time of off-bed， the first time of bowel sound， the first time of anal exhaust， the first time of defecation， length of hospital stay in observation group were shorter than those in control group， hospital expense in observation group was less than that in control group， with statistically significant differences （P 　　[Key words] Clinical nursing pathway； Laparoscope； Hepatectomy 　　临床护理路径作为一项新型的护理对策，主要是针对某一种疾病制订的，以时间为横轴，将入院指导、用药、治疗、检查、饮食、出院健康教育等一系列护理手段为纵轴，制订称为一个临床护理路径量表，明确规定了何时治疗、护理及达到哪种治愈目的[1]。现哈尔滨医科大学附属第一医院（以下简称“我院”）将临床护理路径应用于腹腔镜肝切除术中，取得了显著的治疗效果，更加符合“以